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一例患有蜂窝织炎性憩室炎患者的腹膜透析导管故障病例报告

A Case Report of Malfunctioning Peritoneal Dialysis Catheter in a Patient With Diverticulitis With a Phlegmon.

作者信息

Nwanji Valerie, Burkholder Gail, Kaur Gurwant

机构信息

Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Medicine/Nephrology, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

出版信息

Cureus. 2021 Apr 13;13(4):e14455. doi: 10.7759/cureus.14455.

DOI:10.7759/cureus.14455
PMID:33996315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8115192/
Abstract

We are presenting a case of 59-year-old female with advanced chronic kidney disease where her peritoneal dialysis (PD) catheter was complicated and malfunctioned by its entanglement within a phlegmon from diverticulitis. It needed removal of PD catheter and eventually sigmoid colectomy. We reviewed the literature regarding the risk of peritonitis in patients with asymptomatic diverticulosis and in symptomatic patients with diverticulitis.

摘要

我们报告了一例59岁的晚期慢性肾病女性患者，其腹膜透析（PD）导管因被憩室炎引起的蜂窝织炎缠住而出现并发症并发生故障。需要移除PD导管，最终进行了乙状结肠切除术。我们回顾了关于无症状憩室病患者和有症状憩室炎患者发生腹膜炎风险的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bf/8115192/6859341c7e76/cureus-0013-00000014455-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bf/8115192/1a2684d8a528/cureus-0013-00000014455-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bf/8115192/6859341c7e76/cureus-0013-00000014455-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bf/8115192/1a2684d8a528/cureus-0013-00000014455-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89bf/8115192/6859341c7e76/cureus-0013-00000014455-i02.jpg

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本文引用的文献

1
Diagnostic Dilemma: A Case of Endogenous Peritonitis.诊断难题：一例内源性腹膜炎病例
Adv Perit Dial. 2017 Jan;33(2017):47-49.
2
The Gut in Older Patients on Peritoneal Dialysis.老年腹膜透析患者的肠道情况
Perit Dial Int. 2015 Nov;35(6):650-4. doi: 10.3747/pdi.2014.00341.
3
Asymptomatic diverticulosis identified by computed tomography is not a risk factor for enteric peritonitis.计算机断层扫描发现的无症状憩室病并非肠源性腹膜炎的危险因素。
Nephrol Dial Transplant. 2012 Jun;27(6):2511-6. doi: 10.1093/ndt/gfr685. Epub 2011 Dec 20.
4
Colonic diverticulosis as a risk factor for peritonitis in Chinese peritoneal dialysis patients.结直肠憩室病是中国腹膜透析患者腹膜炎的危险因素。
Perit Dial Int. 2010 Mar-Apr;30(2):187-91. doi: 10.3747/pdi.2007.00244. Epub 2010 Feb 1.
5
Acute treatment of constipation may lead to transmural migration of bacteria resulting in gram-negative, polymicrobial, or fungal peritonitis.便秘的急性治疗可能导致细菌的透壁迁移，从而引发革兰氏阴性、多微生物或真菌性腹膜炎。
Perit Dial Int. 1996 Jul-Aug;16(4):423-5.
6
Diverticular disease in the elderly on continuous ambulatory peritoneal dialysis.老年持续性非卧床腹膜透析患者的憩室病
J Am Geriatr Soc. 1994 May;42(5):569-70. doi: 10.1111/j.1532-5415.1994.tb04984.x.
7
Diverticular disease of the colon: a risk factor for peritonitis in continuous peritoneal dialysis.结肠憩室病：持续性腹膜透析中腹膜炎的一个危险因素。
Nephrol Dial Transplant. 1990;5(2):141-7. doi: 10.1093/ndt/5.2.141.